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Prayer & Care Request
Thank you for entrusting us with your prayer request.
Please fill out the below form so we can best offer our prayer and care for you and your intentions. Information shared is confidential and will only be used to reach out for care and support.
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Email
*
Your email address
First Name
*
Your answer
Last Name
*
Your answer
Cell
Your answer
What category is your prayer request?
*
Choose
In thanksgiving for
In celebration of (wedding, anniversary, baby birth, baptism, birthday, graduation, etc.)
Prayers for a surgery or someone in hospital
In request of healing
In grieving a loss
In request of prayers for a particular trial
First Name of the person you are requesting prayer for
*
Your answer
Last Name of the person you are requesting prayer for
*
Your answer
Their address if you wish a card to be mailed
Your answer
Your prayer intention
*
Your answer
Would you like your prayer request to be public or private?
*
Choose
Public (it may or may not be listed in our parish bulletin "prayer request" section)
Private (it will not be published in bulletin)
May we contact you about your prayer request if there is a way our prayer & care team can reach out?
Choose
Yes
No
Are you registered at St Augustine Church?
*
Choose
Yes
No, I'm registered at another parish
No, I do not belong to any parish
A copy of your responses will be emailed to the address that you provided.
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